Individual
DR. SUJATHA YELLINEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 MEDICAL PARK BLVD, SUITE 200, PETERSBURG, VA 23805-9274
(804) 431-1100
(804) 862-1094
Mailing address
7202 GLEN FOREST DR, SUITE 200, RICHMOND, VA 23226-3781
(804) 673-2024
(804) 673-1796
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101237658
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010148707
—
VA
05
—
010148723
—
VA
01
—
177532
BCBS
VA
01
—
541989200
TRICARE
VA
Enumeration date
02/14/2006
Last updated
02/21/2024
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